Individual provider · Type 1 NPI
Grant Edward Booth, MSW, LICSW, ACSW
Clinical Social Worker · St. Paul, MN
Practice location
1499 Lincoln Ave
St. Paul, MN 55105-2236
Fax (651) 690-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 10829 (MN) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1972504728
Grant Edward Booth, MSW, LICSW, ACSW's National Provider Identifier is 1972504728, issued on Aug 2, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.